Organization
VAN BUREN CASS DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY L ELLIOTT BBA (CHIEF HEALTH OFFICER)
(269) 621-3143
Entity
Organization
Contact information
Practice address
803 WEST ARLINGTON, BANGOR HEALTH CENTER, BANGOR, MI 49013
(269) 427-6810
Mailing address
57418 COUNTY ROAD 681, HARTFORD, MI 49057-9421
(269) 621-3143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
6301006216
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801063574
MI
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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